1. Fight against Tuberculosis

2. Sources
• 1. Centers for Disease Control and Prevention
http://www.cdc.gov/tb/
• 2. World Health Organisation website
http://www.who.int/topics/tuberculosis/en/
• 3. United Nations in the Russian federation
http://www.unrussia.ru/en/agencies/world-health-organization-who
• 4. MNT Knowledge Center
http://www.medicalnewstoday.com/articles/8856.php
• 5. World Health Organisation The Global TB Programme
http://www.who.int/tb/about/en/
• 6. Youtube http://www.youtube.com/

3. Tuberculosis (TB)
is an infectious disease that is caused by a
bacterium called Mycobacterium
tuberculosis. TB primarily affects the
lungs, but it can also affect organs in the
central nervous system, lymphatic system,
and circulatory system among others.

5. Who gets TB
Tuberculosis is spread from person
to person through the air. If an
infected person coughs, sneezes,
shouts, or spits, bacteria can
enter the air and come into
contact with uninfected people
who breath the bacteria into their
lungs.

6. People at a higher risk
• Individuals who live with others who have
active TB infections.
• Poor or homeless people.
• Young children.
• Nursing home residents.
• Alcoholics and intravenous drug users.
• Patients with HIV/AIDS or other immune
system problems.

7. World Health Organisation
Against
TB

8. DOTS
(directly observed treatment, short-course)
is the name given to the tuberculosis control
strategy. According to WHO, “The most cost-
effective way to stop the spread of TB in
communities with a high incidence is by curing it.
The best curative method for TB is known as
DOTS.”

9. DOTS has five main components:
• Government commitment
• Case detection by sputum smear*
microscopy.
• Standardized treatment regimen
• A regular, uninterrupted drug supply.
• A standardized recording and reporting
system that allows assessment of
treatment results.
*Sputum smear is a test to detect and identify bacteria that infect the lungs

10. Engaging hospitals to improve TB
care and prevention
In 2009, WHO initiated a project to help
intensify TB case detection in Africa
and Asia. A total of 86 hospitals
covering a total population of 10
million were involved.

11. WHO Global Task Force on TB
Impact Measurement
The Task Force was established in June 2006 and
includes experts in TB epidemiology,
representatives from major technical and
financial partners, and representatives from
countries with a high burden of TB.

12. The goal of the Global Task Force on
TB Impact Measurement
• produce a widely-endorsed assessment of
whether the 2015 targets for reductions in TB
incidence, prevalence and mortality are
achieved at global level
• regularly report on progress towards these
targets in the years leading up to 2015
• strengthen national capacity in monitoring
and evaluation of TB control.

13. Public-Private Mix
The Public Private Mix (PPM) Initiative was
set up by the World Health Organization
(WHO) in 1995 to develop effective
mechanisms and approaches to involve and
link relevant public and private health care
providers in the delivery of TB care and
control services.

14. The Global Plan to Stop TB 2006-2015
Actions for Life
was launched at the World Economic Forum in
Davos, Switzerland, in January 2006,
following 18 months of consultation and
research. WHO Stop TB staff were heavily
involved in the Global Plan's development, and
took part in a series of high profile launches.

15. The Childhood TB Subgroup
The Childhood TB Subgroup of the Stop TB
Partnership was established in 2003 to promote
research, policy development the mobilization
of human and financial resources to achieve
the goal of decreased childhood TB mortality
and morbidity.

17. “Stop TB in South Asia – zero death to
zero infection”
• National Tuberculosis Insitute, India
• SAARC Tuberculosis Center, Nepal
• Tuberculosis Research Center, India

18. WHO Eastern Mediterranean Region
• providing regional leadership on matters critical to TB
• promoting evidence-based policies, strategies and
standards for TB prevention
• monitoring the regional TB situation
• contributing towards shaping the TB research agenda
• facilitating and engaging in partnerships for TB action.

19. WHO Western Pacific Region
• To promote universal and equitable access to
quality TB diagnosis and treatment for all
people;
• To strengthen TB laboratory capacity;
• To expand TB collaborative activities;

20. WHO against TB in European region
WHO works
with Member
States in the
European
Region to
improve the
tuberculosis
(TB) situation
within
individual
countries.

21. World Health Organisation
fight against TB
in Russia

22. TB Control program in Russia
includes the following activities:
• Support in the revision and development of
National strategies against Tuberculosis;
• Support the activities of High Level Working
Group on Tuberculosis in the Russian
Federation.

23. The High Level Working Group
(HLWG) on Tuberculosis
was established by the WHO and the Ministry of
Health and Social Development of the Russian
Federation 1999.

24. • To discuss appearing problems in fighting
against TB in the Russian Federation
• Find ways to implement effective National
strategies against Tuberculosis by utilizing
the international experience.
The aim of HLWG :

25. International Interagency Coordinating
Committee
It is a voluntary forum which gathers once a year
to discuss the priorities of international
collaboration, sums-up team-work which has
been done and coordinates an activity plan in
the Anti-Tuberculosis field.

26. WHO Pilot DOTS Plus projects
Successful implementation of DOTS pilot projects
made possible to start DOTS Plus projects on
treatment of multidrug resistant TB in Orel, Ivanovo
and Vladimir Oblasts. Novgorod Oblast and
Republic of Chuvashia.

27. The Global Fund to Fight AIDS,
Tuberculosis and Malaria (GFATM)
activities are directed to:
• improvement of early diagnostics and the
effectiveness of TB treatment among
vulnerable groups of population in civil sector;
• improvement of early diagnostics and
effectiveness of treatment of multi-drug
resistant TB;

28. The GFATM activities are directed to:
• improvement of early diagnostics and
effectiveness of TB treatment in penitentiary
sector;
• strengthening cooperation with all TB control
partners;
• prophylaxis and treatment of TB among HIV
infected persons.

29. World TB Day
falling on March 24th each year, is designed to build
public awareness that tuberculosis today remains an
epidemic in much of the world, causing the deaths
of nearly one-and-a-half million people each year

30. Thank you for attention